Robot-assisted Sacrocolpopexy for Pelvic Organ Prolapse: Surgical Technique and Outcomes at a Single High-volume Institution

Robot-assisted Sacrocolpopexy for Pelvic Organ Prolapse: A Systematic Review and Meta-analysis of Comparative Studies

“…Supplemental Table 1 reports the main characteristics of the studies included, graded for their quality and LEs. [40]. Collins E U R O P E A N U R O L O G Y X X X ( 2 0 1 4 ) X X X -X X X et al, in a series of 30 RASCs, reported a mean operative time of 262.8 min (standard deviation: 51.8) [23].…”

“…Grade 1, 2, and 3 complications were 2 (<1%), 45 (3%), and 1 (<1%), respectively [12]. In particular, Satava grade 2 and 3 complications were 14 vaginotomies (1%), 26 bladder injuries (2%), 1 ureteral injury (<1%), and 4 bowel injuries (<1%) [10,11,16,17,[19][20][21][22][23]28,[31][32][33][34][35][36][38][39][40]. Additionally in one case (<1%), a suture with its needle was lost and a 2-cm incision for needle retrieval was necessary [25].…”

“…No grade 4 and 5 complications were recorded. Focusing on severe complications (Clavien-Dindo grade !3a [13]), 20 events (2%) were recorded among 1118 with specific information available [10,11,[16][17][18][19][20][21][22]25,27,28,[30][31][32][33][34][35][37][38][39][40]. Complications included bowel obstructions (n = 5 [25%]), port site hernia (n = 6 [30%]), port site nerve entrapment in a port site (n = 1 [5%]), abscess (n = 3 [15%]), peritonitis due to bowel injury (n = 2 [10%]), vaginal cuff dehiscence (n = 1 [5%]), and feeling of traction requiring secondary surgery (n = 2 [10%]).…”

Comparison of functional outcomes after robot-assisted laparoscopic sacrocolpopexy in women with a BMI below and above 30

“…Ploumidis et al did not find a correlation between laparo-conversion and a high BMI: 50% of their patients had a BMI >29, suggesting that moderate obesity does not represent a contraindication for the robotic approach. 19 In contrast, Gadonneix et al report a higher risk of conversion when RALSCP was performed in patients with high BMI. 20 Two retrospective studies have evaluated POP surgery outcomes using an abdominal approach (laparotomy or laparoscopy) according to the patient's BMI.…”

Native Tissue Surgery for Prolapse versus Graft/Mesh Use: Current Trends in Reconstructive Surgery

“…These approaches decrease peri-and postoperative morbidity and appear to have similar anatomic success rates as open abdominal sacrocolpopexy [43][44][45]. With the decrease in use of transvaginal mesh following the 2011 FDA warning, the use of sacrocolpopexies has increased, although they are still performed less commonly than vaginal prolapse repairs [5].…”